Combined prescription-blank and label.



'PATENTED' JUNE 2, 1903.

No. v"moms;

W. B. BEACH. COMBINED PRESCRIPTION BLANK AND LABEL.

APPLICATION FILED SEPT. 10. 1901.

I0 MODEL.

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U ITED STATES,

Patented June 2, i903.

PATE T OFFICE.

COMBINE-D PRESCRIPTION-:BLANK AND LABEL.

SPECIFICATION forming m of Letters Patent No. 730,083, dated June 2, 1903.

' Application filed September 10, 1901. swarm. "74,925. (No model.) e

.To all whom itm/ay concern:

Be it known that I, WARREN BUCKLAND BEACH, a citizen of the United States, residing at Clyde, in the county of Cloud and State of Kansas, have invented a .new and useful Combined Prescription-Blank and Label, of

' which the following is a specification.

This inventionrelates to a combined prescription-blank and bottle-label, and the purpose of the same is to reduce the expense of separately preparing or producing labels and' prescription-blanks 'by combining them in sheets or leaves and applying the necessary printed matter and also to save the time usually spent by a druggist or pharmacist in copying directions from a prescription on a label, which operation isin this instance performed by the physician at the time of writing the prescription, the druggist or pharmacist only numbering the label which he sepa .label portion of the blank turned up to receive the directions which are to be applied thereto and which will be duplicated on the prescription. 1

Similar numerals of reference are employed to indicate corresponding parts in the views.

The numerals 1 and 2 designate the prescription-blank and normally attached label, which may form theleaves of .a book or tab let, as shown, and held between front and rear endwise-opening covers 3, which are connected by a hinge portion 4, as usual in book devices. As many of the leaves embodying the combined prescription-blank and label may be bound in book form as desired; but it is obvious that in some instances the cover might be dispensed with and the combined devices arranged in the form of a pad. This obvious change in combining the leaves or sheets including the two devices will not in said blanks.

the least change the scope of the invention, and it is also apparent that the leaves may be made in various sizes and proportions. At

the head of the prescription blank will be placed the name of the druggist or pharmacist furnishing the combined device, together with an address or location, if found necessary; but in some instances this may also be omitted and the druggists or pharmacists name applied after a selection by the will of the-physician who formulates the prescription. Below the heading is a space 5 for application of the name of the patient, and next below said space is the usual prescription-. sign. At a suitable distance from the said sign and nearer the bottom of the prescription-blank 1 are the abbreviations and indications Sig, No, Date, and M. D. The label is held at the bot-tom of the prescription-blank and is adapted to be readily torn therefrom through the medium of a transverse line of separating-punctures 6 or the like, the side of the label 2 normally adjacent the face of the prescription-blank 1 being fully gummed orsnpplied with anadhesive substance 7, which will be moistened for application to the bottle or other device containing the mixture in accordance with the prescription. Whileit is preferable that the one side of the label 2 be supplied with an adhesive coating, as set forth, it will be understood that the adhesive substance could be applied to the label in the usual manner by the druggist or pharmacist. The reverse side of the label 2 will be suppliedwith a heading 8, similar to that carried by or imprinted on the prescription-blank 1, and below the said heading 8 is the word Directions," the abbreviations No.and M. D., and an indication for proper application of the date. Secured to the upper portions of the connected leaves embodying the combined blanks and labels is a sheet 9 of manifolding-paper, which is of a length equal to the prescription-blanks and is free for movement upwardly from and downwardly against While it is more convenient and preferable to have the sheet 9 attached to the upper extremity of the connected leaves, the same result can be obtained by leaves.

using a sheet of manifolding-paper or material which is separate from'ith In using the improved arrangement the physician first writes his prescription in the space allotted for the same and then brings the mauifolding-sheet 2 over the prescriptionblank and doubles or folds the label-blank 2 over the adjacent portion of the manifoldingsheet. The parts are so proportioned and the abbreviations and indications on the lower portion ofthe prescription-blank 1 and the label-blank 2 that when the latter blank is folded over, as clearly shown by Fig. 2, the word Directions will coincide with the abbreviation Sig. and the date indication and abbreviation M. D. on the label will be directly over the similar matter on the prescription-blank, and by writing the directions for administering the mixture presented by the prescription after the word Directions on the label the same matter will be simultaneously imprinted or transferred to the prescription-blank, and, furthermore, the name of the physician and the date of the prescription may likewise be duplicated. When the prescription is presented to a druggist or pharmacist to be filled, he follows the usual course in regard to the prescription, with this variation, that after the mixture is completed he separates the label 2 from the prescription-blank 1 and after similarly numbering both the label and prescription-blank he applies the label to the bottle or containing device for the mixture. By this means mistakes in copying directions on a label will be wholly avoided and the responsibility will rest solely with the physician. The physician will also know that his prescription will be administered precisely in accordance with hisinstructions or directions, and the druggist will be saved the delay of writing the directions on the label. Another great advantage in the combined prescription-blank and label is the economy in the production of the same as compared to the ordinary mode of separately preparing such devices.

If desired, a physician may interpose a manifolding-sheet between the prescriptionblank and by means of a separate slip of paper suitable for the purpose obtain a copy of the prescription for his own keeping or other use, or, if desired, the said duplicate of the prescription may be made on an adjacent prescription-blank.

It is proposed to make the improved prescription-blank and label about the same size and proportions of the combined separated devices of this class and also of such size for convenience in carrying the same in a pocket or device for insertion in a pocket.

Having thus described the invention, what is claimed as new is 1. As a new article of manufacture, a combined integral prescription-blank and label consisting of a single ply of paper, the label being shorter than the blank and foldable thereon, the blank bearing appropriately-designated spaces to constitute it a prescriptionblank, and the under face of the label hearing appropriately-designated spaces to constitute it a label, the lower portion of the upper face of the blank having appropriatelydesignated spaces to register with those of the label when the latter is folded thereon, whereby when a sheet of manifolding material is interposed between the blank and the label, original matter written upon the latter will be duplicated upon the former.

2. Asa new article of manufacture, a combined integral prescription-blank and label consisting of a single ply of paper, the label being shorter than the blank and foldable thereon and separated therefrom by a weakened line to permit ready detachment when desired, the blank bearing appropriately-designated spaces to constitute itaprescriptionblank, and the under face of the label hearing appropriately-designated spaces to constitute it a label, the lower portion of the upper face of the blank having appropriatelydesignated spaces to register with those of the label when the latter is folded thereon, and the upper face of the label having applied thereto a coating of adhesive material.

In testimony that I claim the foregoing as my own I have hereto affixed my signature in the presence of two witnesses.

VARREN BUOKLAND BEACH.

W'itnesses:

L. S. GRISELL.

A. H. LIDELL. 

